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John L. Harlan, M.D. John B. Richardson, Jr., M.D. John B. Casterline, M.D. Parvez K. Sultan, M.D. Trent A. Howard, D.O. John S. Thurber, M.D.PRACTICE OF CARDIAC, THORACIC AND PERIPHERAL VASCULAR
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01
Obtain the cts-medical-records-release-formpdf from the relevant healthcare provider or their website.
02
Fill in your personal information including your name, address, date of birth, and any identification numbers required.
03
Specify the medical records you wish to release by indicating the dates of treatment or specific services needed.
04
Include the name and address of the party to whom the records should be sent.
05
Sign and date the form to authorize the release of your medical records.
06
Submit the completed form to the healthcare provider’s records department via mail, fax, or in person as instructed.

Who needs cts-medical-records-release-formpdf?

01
Patients who wish to transfer their medical records to another healthcare provider.
02
Individuals seeking access to their own medical records for personal review.
03
Legal representatives or guardians acting on behalf of a patient.
04
Healthcare providers needing authorization to release a patient’s records.
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The cts-medical-records-release-formpdf is a document that allows patients to authorize the release of their medical records to third parties.
Patients or their legal representatives are required to file the cts-medical-records-release-formpdf to request the release of medical records.
To fill out the cts-medical-records-release-formpdf, individuals need to provide their personal information, specify the records to be released, and sign the form.
The purpose of the cts-medical-records-release-formpdf is to grant permission for healthcare providers to share a patient’s medical records with designated individuals or entities.
The form must include the patient's name, contact information, the name of the healthcare provider, the specific records requested, and the signature of the patient or their representative.
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